| Agency Of The State Of Texas | |
|
2616 S Clack Ste 160 Abilene TX 79606-1557 | |
| (325) 690-5131 | |
| (325) 690-5228 |
| Full Name | Agency Of The State Of Texas |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2616 S Clack, Abilene, Texas |
| Authorized Official Name and Position | Jennifer K Goode (CEO CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3256905135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agency Of The State Of Texas 2616 S Clack Ste 160 Abilene TX 79606-1557 Ph: (325) 690-5131 | Agency Of The State Of Texas 2616 S Clack Ste 160 Abilene TX 79606-1557 Ph: (325) 690-5131 |
| NPI Number | 1033186499 |
|---|---|
| Provider Enumeration Date | 03/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033186499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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